PATRICIA AUSTRIA SHRESTHA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058993

License Status

CANCELLED

Business

Title

First Name

PATRICIA

Middle

AUSTRIA

Last Name

SHRESTHA

Business Name

PATRICIA AUSTRIA SHRESTHA MD

Original Issue Date

12/01/2010

Effective Date

12/01/2010

Expiration Date

11/30/2013

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/02/2013